Tidewater Foot Center Llc | |
126 Monarch Dr, Newport News, VA 23602-6884 | |
(757) 597-1520 | |
(757) 597-7099 |
Full Name | Tidewater Foot Center Llc |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 126 Monarch Dr, Newport News, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891137048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | 0103301081 (Virginia) | Primary |
Provider Name | Steven Thou Prak |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1033435219 PECOS PAC ID: 9335317148 Enrollment ID: I20130821000836 |
Mailing Address | Practice Location Address |
---|---|
Tidewater Foot Center Llc 11747 Jefferson Ave Ste 2a, Newport News, VA 23606-4402 Ph: (757) 597-7699 | Tidewater Foot Center Llc 126 Monarch Dr, Newport News, VA 23602-6884 Ph: (757) 597-1520 |
Steven T Prak, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 700 Mobjack Pl, Newport News, VA 23606 Phone: 757-597-7699 Fax: 757-597-7099 | |
Mr. Benjamin R Proto, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd, Suite 113, Newport News, VA 23606 Phone: 757-327-0657 Fax: 757-327-0658 | |
A To Z Family Footcare Podiatrist Medicare: Medicare Enrolled Practice Location: 12695 Mcmanus Blvd, Suite 1d, Newport News, VA 23602 Phone: 757-561-8671 Fax: 757-873-1448 | |
Foot And Ankle Specialists Of The Mid-atlantic, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 754 Mcguire Pl, Newport News, VA 23601 Phone: 757-599-5710 | |
Dpmstraleyprva,llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 705 Mobjack Pl, Suite B, Newport News, VA 23606 Phone: 757-873-2101 | |
Aaron Glenn Gould, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12695 Mcmanus Blvd, Suite 1-d, Newport News, VA 23602 Phone: 757-561-8671 Fax: 757-986-5445 | |
Womick Podiatry Clinic P C Podiatrist Medicare: Medicare Enrolled Practice Location: 704 Thimble Shoals Blvd, Ste 300b, Newport News, VA 23606 Phone: 757-595-7634 Fax: 757-595-7635 |